P Praxis·MD
● Active Type 1 · Individual

DR. Torey B Clark, M.D.

Specialist·Fayetteville, GA· NPI 1396737680 · Enumerated 2005 · 20 years on NPI
Clark is 1 of 22 specialist providers in Fayetteville and 1 of 1881 in Georgia.
NPI age
20 years
Enumerated 2005-08-22
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-08-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
500 W Lanier Ave, Suite 406
Fayetteville, GA 302147636
📞 6788175355fax 6788175339
Mailing address
500 W Lanier Ave, Suite 406
Fayetteville, GA 302147636
📞 6788175355fax 6788175339

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #036943 taxonomy 174400000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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